Individual
MR. JERRY D. GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 WHISPER TRL, APT #204B, AUSTELL, GA 30168-7135
(678) 488-5272
(770) 723-9352
Mailing address
PO BOX 28094, ATLANTA, GA 30358-0094
(678) 488-5272
(770) 723-9352
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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